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Contact Information

BRYAN W GOSS, MD
455 SAINT MICHAELS DR
SANTA FE, NM87505-7601
 Phone: 505-913-5233
 Fax: 505-913-6466
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for BRYAN W GOSS · (Male)

NPI Number 1124021233
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2005
Last updated 01/23/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 2004-0235
  • NM Medicaid 32751575
Hospital affiliation(s)
  • ST VINCENT HOSPITAL - (Acute Care)
    455 ST MICHAEL'S DRIVE
    SANTA FE, NM 87505
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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